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tPA for stroke debate at IAEM 2014

The 2014 meeting of IAEM was a great experience. For a country of 4.5 million with just over 70 emergency physicians we put on a pretty good show I think. I like to use “we” even though I had no part...

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SMACC Chicago Programme now available!

If you’ve found your way to this blog at all then I’m sure you’ve heard of SMACC. The programme for the next conference in Chicago 23-26th June 2015 has just been released. Be sure and check out the...

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SMACC Gold Neuroanatomy Talk

Back in March 2014 I had the pleasure of speaking at SMACC Gold in Australia. The whole thing was great fun and I’m sure you’re all aware it’s going to Chicago in May 2015 so be sure to be there....

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Medical Complications of Pregnancy

This is a talk I gave recently for our registrar teaching morning. Not the sexiest presentation (forgive the bullets) but hopefully will give you the basic, textbook level info a al foamcast style...

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Getting started with FOAMed

Just a little note to state that I have collated a few resources for those looking to get started with both consuming and creating FOAMed. There’s a little link at the top right of the page. I also...

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RCEM 15

   The Royal college of emergency medicine is having its annual conference starting tomorrow. It’s being organised by RIck Body and all the folk better known as st emlyns.  The line up looks amazing...

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Eye Injuries at EuSEM15

This is a screencast of a talk I gave at the European Society of Emergency Medicine Congress in Torino, Italy in October 2015. St Emlyns have a nice summary of the conference. It was an honour to be...

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RCEM Learning #FOAMed workshop

FOAMed is a significant part of the EM’s community educational practice. Our workshop is now open for registration! https://t.co/KgagLhoK6L pic.twitter.com/l4lqNjvpTE — RCEMLearning (@RCEMLearning)...

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RCEM Learning FOAMed Workshop: Setting up websites

For more details on the workshop go to RCEM Learning This is a series of posts on what we discussed at the RCEM FOAMed workshop held in Octavia House December 2017. Some of this is very basic and I am...

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RCEM Learning FOAMed Workshop: Departmental websites

For more details on the workshop go to RCEM Learning This came up on the day as something people were quite interested in. Common interests were Induction programs Storing and collating the...

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On how Web 2.0 just might save someone else’s life…

I haven’t work full time in EM since June 2010. I go back to it in July 2012 after two years teaching anatomy here. I started this site almost a year ago as a means of keeping in touch with all things...

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Emergency medicine handbook

If you read this then you already know there’s lots of great stuff out there on the internet for learning in emergency medicine. Indeed you may have been directed here in the hope of finding some. Well...

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Anatomy for Emergency Medicine 021: shoulder – subacromial space and labrum

yet more on the shoulder and the impingement syndrome. [Direct Download] Enjoy. Or not… iTunes | Generic RSS

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Anatomy for Emergency Medicine 022: shoulder- AC and SC Joints

Continuing our (seemingly never ending) journey through the shoulder and beyond the plain film. Cheers as always to radiopaedia.org for the cited images.   iTunes | Generic RSS  

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Which test for rotator cuff tear following shoulder dislocation?

There are of course a number of papers looking at the same thing but I saw this one recently. Yuen, Chi Kit, Ka Leung Mok, and Pui Gay Kan. “The Validity of 9 Physical Tests for Full-Thickness Rotator...

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FOAMtastic top 5 for 2012

As per the rules and guidelines set out by by st-emlyns I only went back to real work in July, so I’m only gonna choose 5 instead of 10 as I just haven’t had enough patients to try out a full 10! In no...

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PCI for stroke trials

OK, so I admit PCI for stroke is something I made up, but I think it’s a reasonable analogy. Given that treatment for STEMI moved from tPA to PCI then it’s hardly surprising to see a similar trend in...

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IV dextrose for kids with gastro

  Levy, Jason A, Richard G Bachur, Michael C Monuteaux, and Mark Waltzman. “Intravenous Dextrose for Children with Gastroenteritis and Dehydration: a Double-Blind Randomized Controlled Trial..” Annals...

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Is pulmonary embolism really all that bad?… Again…

Pollack, Charles V, Donald Schreiber, Samuel Z Goldhaber, David Slattery, John Fanikos, Brian J O’Neil, James R Thompson, et al. “Clinical Characteristics, Management, and Outcomes of Patients...

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Elbow effusions from Radiopaedia.org

This is a great, short and high value talk on elbow effusions from @DrAndrewDixon of radiopaedia.org. httpv://www.youtube.com/watch?v=k1UYfi9zdOg If you’ve not been following some of the great stuff...

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Keeping up with the literature

Today I think I’m finally giving up on my old system. The old system was email subscriptions to the table of contents (TOC) of about 30 different journals that i filed under a gmail label and reviewed...

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Anatomy for Emergency Medicine 026: Basic Anatomy of Chest Trauma

This is a screencast of a recent lecture I gave to some first year med students. It’s mainly to give the students some clinical info to keep their regular anatomy teaching relevant. It’s not designed...

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Anatomy for Emergency Medicine 027: Basic Anatomy of Abdomen and Pelvic Trauma

This is the second part of a recent lecture I gave to some first year med students to get across how important their anatomy is to understanding trauma. First part lives here [Direct Download]   iTunes...

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Standing Test for Long-QT syndrome

This was all brand new to me. I was reviewing a syncope patient left over from the night shift before. The hand over was: recent change in anti-hypertensives, now feeling weak and dizzy about 1 week....

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Workshop for EMS Gathering

This is the post I created for the guys who attended the “Social Media and EMS” workshop at the Irish EMS Gathering in May 2013. Hopefully something from the 2.5 hrs stuck in your brains so that you’re...

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The Crashing Asthmatic

I had prepared this before the 3MG trial came out and hat tip to simon carley and his post for alerting me to it. UPDATE: have since read the 3MG trial and here’s my thoughts on that In my current...

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The decision to intubate

[Image Wikipedia Commons] [This has been floating about as a draft post here for ages, but Cliff has finally inspired me to put it out there and have the discussion following his recent post on The...

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The decision to intubate – the follow up

[Image Wikipedia Commons] A few days ago I posted a few cases to try and elicit the reasoning behind why we intubate people. Check out the comments to get a feel for what people were saying. Here’s...

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SMACC Gold is Coming

I missed last years SMACC, much to my dismay. A much awaited baby and a struggling bank account got in the way. The baby was (and still is fun), the bank account not so much… But SMACC is back. It’s...

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Severn Deanery 2014 Social Media Workshop

This is the post I created for the guys who attended the Social Media workshop at the Severn Deanery meeting in January 2014. It is based loosely on material from the Irish EMS gathering that I took...

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(Yet more) reflections on SMACC Gold

Lots of other folk have put their reflections on SMACC Gold online and I’m here to join the crowd. I missed the first SMACC as purse strings were a little tight. They’re a little tight this year too...

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EMS Gathering Review

It’s been a month since the Irish EMS Gathering conference that I had the pleasure of speaking at. This was the second year and it’s a pretty unique event. It’s main focus is naturally pre hospital...

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CEM FOAMed network

The College of Emergency Medicine is the body responsible for training all the wonderful UK emergency medicine trainees and represents the speciality in the UK. The trainees in Ireland do the UK exams...

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